Customer Service Revenue Cycle
Resume:
Amy L. Collis
** ****** ****** **** *********** MA 01089 413-***-**** *********@*******.***
Summary
Detailed oriented individual with 13+ years of billing experience and 20+ years of providing impeccable customer service. My clients are my passion and drive for the job. With the continuous evolution in Healthcare Technology today, I am eager to learn new software and how it can help improve a clients revenue cycle for their practice and make their office operations run smoothly. Consistently received upwards of 95% of positive client reviews and referrals to bring in upcoming clients.
Professional Experience
eIVF Irving, Texas 10/1/2023 - 5/30/2025
Billing Implementation Manager
●Work with clients to get their practice set up with eIVF EMR Software
●Implement all aspects of EHR/Billing module/Patient Portal
●Train providers, staff on how to utilize eIVF Billing module and patient portal application, billing queries, and various reconciliation reports
●Work with the billing team to set up and establish their payers, test sending CMS 1500 claims to clearinghouse (Optum Exchange)
●Troubleshooted client issues with payers and their clearinghouses during go live
●Once client has completed their implementation, would assist with on-site visit for go-live week to work hands on with the staff
Practicesuite Tampa, FL 6/1/2022 - 9/2023
EDI Enrollment Analyst
●Process enrollment requests for electronic services with clearinghouse and payers
●Answer incoming enrollment emails and phone calls to resolve customer issues.
●Assist customers with payer agreements and online enrollments.
●Troubleshooting enrollment rejections with insurance payers and clearinghouse
●Researching missing remittances and enrollment related claim rejections.
●Provide internal support to the Onboarding, Implementation, Sales or Support team on all enrollment related calls/issues.
●Follow-up with customers, clearinghouses, and insurance payers on enrollment status.
Harris-Bizmatics Inc. San Jose, CA 05/2020 – 5/2022
Implementation Manager
●Work with clients to get their practice set up with PrognoCIS
●Implement all aspects of EHR/Billing
●Train providers, staff on how to utilize PrognoCIS software
●Assisting clients with Stem set-up and EDI Enrollment for their payers
●Tested sending CMS 1500 & UB-04 claims to clearinghouse (Trizetto/Waystar)
●Troubleshooted client issues with payers and their clearinghouses
●Setting up billing with multiple payers with their payer ID’s
Peter T. Demos Springfield, MA 09/2019 – 4/2020
Billing Specialist/Customer Service Representative
●Patient demographic verification
●Insurance Verification and Eligibility
●Answer patient calls to help with any billing questions or insurance changes
Mckesson/Change Healthcare Ludlow, MA 08/2014 – 09/2019
Billing Specialist/Customer Service Representative
●Import Professional Radiology/Oncology/Pathology charges using multiple hospital systems.
●Monthly reconciliations for various facilities
●Patient demographic verification
●Insurance Verification and Eligibility
●Answer patient calls to help with any billing questions or insurance changes.
●Submit claims electronically.
Holyoke Health Center, Inc Holyoke, MA 06/2012 – 08/2014
Pharmacy Claims Specialist
●Reconciliation of claims for all Third-Party insurance companies.
●Balancing and reporting of all cash and insurance payments daily.
●Collection and recording of all cash transactions brought in through both the Chicopee and Holyoke Pharmacies.
●Follows up on denials and Medicare appeals, CMS correspondences for authorizations on DME.
●Generate monthly cash reconciliation and aged receivable reports for department heads for monthly meetings.
●Collaborate with the finance department monthly to give an accurate account of monies received via claims.
●Post and reconcile daily all Insurance payments to the Pharmacy database and track all cash payments (co-pays) in the pharmacy ledger that is taken in daily.
●Set up all Third-party pharmacy payers to deposit funds electronically to help with the revenue cycle instead of waiting for checks to come by mail.
●I was hired as a Medicaid biller and AR specialist until I was needed suddenly for the pharmacy. My attention to detail and stringent work ethic brought that opportunity to me.
Holyoke Health Center, Inc Holyoke, MA 09/2011 – 06/2012
Billing/Accounts Receivable Specialist
●Insurance Verification and Eligibility
●Check and verify Medicaid and Health Safety Net Claims for correct billing and coding.
●Submit claims electronically.
●Post payments to patients accounts and research denied claims.
●Balance and report all cash and insurance payments daily.
Berry Plastics, Inc Easthampton, MA 11/1992 – 09/2011
Document Control Coordinator
●I was responsible for maintaining all customer files and records for a busy facility.
●Design and deliver series of training classes for ISO 9001 Certification requirements for a local facility.
●Maintained a customer complaint database-generate quarterly reports for department heads.
●Rapidly learned and mastered various computer programs; recently completed Microsoft Office Suite certificate Course.
●Oversee front-office operations and provide impeccable customer service, responsible for customer visits and tours.
●Develop and implement strategic cost savings plans. Designed a database for a daily schedule to be imported and only reflect changes instead of going through 50+ pages of paper every day
●Manage all aspects of day-to-day operations as Document Control Coordinator for Berry Plastics:
●Maintain and facilitate all customer specs in a database.
●Provide support for the production floor by issuing components for the machines daily
●Generate Certification of Compliance Reports on daily shipments.
●Manage all graphics and customer signed standards by filing alphabetically/numerically.
Education
Kaplan university 05/2008 – 08/2011
Associates in Medical Office Administration – Graduated in August 2011
Westfield High School Westfield, MA Graduated 1990
Other Skills:
Computer skills: Microsoft Word, Excel, Access, PowerPoint, Outlook, NextGen Application, QS1, NetRx, EPIC, MEDITECH, PrognoCIS, Practicesuite
Medical Skills: Include but not limited to HIPAA Compliant, AED/CPR Certified, Insurance Verification, Medicare Appeals and Denials
Medical Terminology
Office Skills: Records Management, Database Administration, Spreadsheets/Reports, Written Correspondence
Customer Service: Answer patient calls to help with billing questions-update insurance.
References available upon request.
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